NPI 1033212840

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Organisation Case Management Agency Salt Lake City, UT

Practice location

Address: 210 S Rio Grande St, Salt Lake City, UT 84101-1104
Phone: (801) 355-9391
Fax: (801) 359-8254

Authorised official

Name: Leslie S. Russell
Title: Director of Human Resources/Grants
Phone: (801) 355-9391

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence 133036-3502 (UT)

Other Case Management providers in Utah →

Registry record

NPI: 1033212840
Entity type: Organization
NPI issued: 7 Sep 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.